TY - JOUR
T1 - Towards actionable international comparisons of health system performance
T2 - expert revision of the OECD framework and quality indicators
AU - Carinci, F
AU - Van Gool, K
AU - Mainz, J
AU - Veillard, J
AU - Pichora, E C
AU - Januel, J M
AU - Arispe, I
AU - Kim, S M
AU - Klazinga, Niek S
AU - OECD Health Care Quality Indicators Expert Group
N1 - © The Author 2015. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.
PY - 2015
Y1 - 2015
N2 - OBJECTIVE: To review and update the conceptual framework, indicator content and research priorities of the Organisation for Economic Cooperation and Development's (OECD) Health Care Quality Indicators (HCQI) project, after a decade of collaborative work.DESIGN: A structured assessment was carried out using a modified Delphi approach, followed by a consensus meeting, to assess the suite of HCQI for international comparisons, agree on revisions to the original framework and set priorities for research and development.SETTING: International group of countries participating to OECD projects.PARTICIPANTS: Members of the OECD HCQI expert group.RESULTS: A reference matrix, based on a revised performance framework, was used to map and assess all seventy HCQI routinely calculated by the OECD expert group. A total of 21 indicators were agreed to be excluded, due to the following concerns: (i) relevance, (ii) international comparability, particularly where heterogeneous coding practices might induce bias, (iii) feasibility, when the number of countries able to report was limited and the added value did not justify sustained effort and (iv) actionability, for indicators that were unlikely to improve on the basis of targeted policy interventions.CONCLUSIONS: The revised OECD framework for HCQI represents a new milestone of a long-standing international collaboration among a group of countries committed to building common ground for performance measurement. The expert group believes that the continuation of this work is paramount to provide decision makers with a validated toolbox to directly act on quality improvement strategies.
AB - OBJECTIVE: To review and update the conceptual framework, indicator content and research priorities of the Organisation for Economic Cooperation and Development's (OECD) Health Care Quality Indicators (HCQI) project, after a decade of collaborative work.DESIGN: A structured assessment was carried out using a modified Delphi approach, followed by a consensus meeting, to assess the suite of HCQI for international comparisons, agree on revisions to the original framework and set priorities for research and development.SETTING: International group of countries participating to OECD projects.PARTICIPANTS: Members of the OECD HCQI expert group.RESULTS: A reference matrix, based on a revised performance framework, was used to map and assess all seventy HCQI routinely calculated by the OECD expert group. A total of 21 indicators were agreed to be excluded, due to the following concerns: (i) relevance, (ii) international comparability, particularly where heterogeneous coding practices might induce bias, (iii) feasibility, when the number of countries able to report was limited and the added value did not justify sustained effort and (iv) actionability, for indicators that were unlikely to improve on the basis of targeted policy interventions.CONCLUSIONS: The revised OECD framework for HCQI represents a new milestone of a long-standing international collaboration among a group of countries committed to building common ground for performance measurement. The expert group believes that the continuation of this work is paramount to provide decision makers with a validated toolbox to directly act on quality improvement strategies.
KW - Consensus
KW - Delphi Technique
KW - Humans
KW - International Cooperation
KW - Organisation for Economic Co-Operation and Development
KW - Quality Indicators, Health Care
KW - Quality of Health Care
KW - Comparative Study
KW - Journal Article
KW - Research Support, Non-U.S. Gov't
U2 - 10.1093/intqhc/mzv004
DO - 10.1093/intqhc/mzv004
M3 - Journal article
C2 - 25758443
SN - 1353-4505
VL - 27
SP - 137
EP - 146
JO - International Journal for Quality in Health Care
JF - International Journal for Quality in Health Care
IS - 2
ER -